GERD
Fancy name for heartburn.
What is pyrosis.
You can flush the tubes with regular water.
What is false. Only flush with saline.
Pain relief medication to avoid.
What is NSAIDs.
Test that is performed.
What is an EGD.
Two different types.
What is erosive caused by irritants or non erosive caused by infection.
Patients suffering from GERD should sleep flat on their back or stomach.
What is false. Elevate the head of the bed at least 30 degrees. (semi- flowers)
This tube is placed when gastric route isn't available or to reduce aspiration risk, and usually lasts around 6-9 month.
What is PEJ or J tube.
Complication of PUD
What is gastric outlet obstruction, shock, upper GI hemorrhage, perforation, and penetration.
This can be caused if the cancer cells metastasize to the liver.
What is ascites or hepatomegaly.
If the patient is unable to absorb b12 what does this cause.
What is pernicious anemia. They will need b12 injections for life.
Lining of esophagus becomes like the lining of the small intestines which increases risk of esophageal cancer.
What is Barrett's esophagus.
Premature dislodgment of tube is an emergent situation.
PUD usually occurs in the stomach.
What is false. It usually occurs in the duodenum.
S/S can resemble.
What is ulcers. pain can be relieved with antacids.
Local irritants.
What is NSAIDS, corticosteroids, alcohol, gastric radiation therapy, and infection of H. pylori.
# 1 modification
What is diet. Low fat, no caffeine/alcohol/smoking, avoid milk, peppermint, spearmint, and carbonated beverages.
These tubes are usually placed radiologically.
What is false. rarely placed radiologically. Most of the time placed endoscopically.
These medications can be given to promote ulcer healing.
What is PPI's (prazole) and H2 blockers (tidine)
Palpable nodules around umbilicus- usually in advanced stages of cancer.
What is Sister Mary Joseph's nodules.
If left untreated what can gastritis turn into.
What is PUD.
What is reduce, neutralize, or protect stomach lining.
Neutralize acid- antiacids
Reduce production- H2 blockers, PPI's
Increase gastric emptying- GI stimulants (metoclopramide)
Parasympathetic stimulant- Cholinergics
Protection- Sucralfate
Reduces reflux- muscle relaxants- baclofen
Reasons for PEG (stomach) tube.
What is gastroparesis, GERD, intestinal obstruction, critical illness/trauma, neurological/muscular disorders.
Blood type that is a risk factor/cause of PUD.
What is type O blood.
Common cause of cancer.
What is diet. Diet high in smoked, salted, or pickled foods, and low in fruits and vegetables.
This test can detect H.pylori.
What is a breath test.